ATI MEDSURG 2025 FUNDAMENTAL-FINAL EXAM

ATI MEDSURG 2023 FUNDAMENTAL-FINAL EXAM

Fundamental - Final exam (Study Guide)
 Med Calculation
o 1tsp/5ml
o 1000mg/1g
o 1mg/1000mcg
o 1kg/2.2lbs
o 1000mcg/1mg
 Chapter 15: Critical Thinking in Nursing Practice

o What considerations are important when determining the best option? Whatever
decisions is best for the patient.

o When should the nurse delegate vs not delegate?

 Delegation: “transferring responsibility for a performance of an activity or task
while retaining accountability for an outcome”

 assigning tasks to other healthcare professionals (vitals, labs)

 UAP (unlicensed assistive personnel), LPN

 Not delegate: “to do on your own or not share the tasks”

 give meds, change in status, receive new meds, new admission, teaching
 Chapter 16: Nursing Assessment

o Assessment: gather all subjective and objective data
 Chapter 17: Nursing Diagnosis
o Diagnosis: NANDA, nursing diagnosis for actual problems, Potential problems, or risk for
problems.
 Chapter 18: Planning Nursing Care
o Outcome identification: SMART goals for pt (patient)
o Planning: nurse/pt make a plan to achieve the goal
 Chapter 19: Implementing Nursing Care

o Implementation: how the nurse will put the plan into action & Interventions
 Chapter 21: Managing Patient Care
o Delegation to LPN
 monitoring findings (as input to the RN’s ongoing assessment)
 Reinforcing client teaching from a standard care plan
 Performing tracheostomy care
 Suctioning

,  Checking NG tube patency
 Administering enteral feedings
 Inserting a urinary catheter
 Administering medication (excluding IV medication in some states)
o Delegation to AP
 Activities of daily living (ADLs)
 Bathing
 Grooming
 Dressing
 Toileting Ambulating
 Feeding (without swallowing precautions)
 Positioning
 Routine tasks
 Bed making
 Specimen collection
 Intake and output
 vital signs (for stable clients)
o Delegation Guidelines
 Right task – task to delegate
 Right circumstances – under what circumstances, are they stable
 Right person – to whom
 Right direction and communication in writing, orally or both – what information to
communicate
 Right Supervision and evaluation – how to oversee and appraise
 Chapter 22: Ethics and Values
o Accountability: ability for one’s own actions.
o Confidentiality: ensure that patient information is kept confidential and to give patients
more control over their personal healthcare information and who has access to it
o Advocacy: the support of a particular cause. Works on behalf of the patient.
o Responsibility: willingness to respect obligations + to follow through on promises
o Autonomy
 the right to make one’s own personal decisions, even when those decisions might
not be in that person’s own best interest.
o Maleficence: Intentional conduct that’s wrongful/ unlawful
o Ethical Principles: Set of guidelines for the expectations of a profession and the
standards of behavior for its members

o 6 Ethical Principles

 Non maleficence: Avoidance of harm or hurt

 Autonomy: involve patients in making decisions for themselves.

,  Fidelity: Agreement to keep a promise

 Beneficence: Do what is in the best interest for pts, taking positive actions to help
others

 Justice: Fairness

 Veracity: Telling the truth

o What is an ethical dilemma? Give an example Ethical Dilemma:

 Dilemma existing when the right thing to do is not clear. Resolution requires the
negotiation of differing values among those involved in the dilemma.

o How do you maintain confidentiality and privacy during a patient care assignment?

 You cannot share information about a patient’s medical condition or personal
information with anyone who is not involved in the care of the patient.
 Chapter 23: Legal Implications in Nursing Practice
o Intentional Torts
ASSAULT
 The conduct of one person makes another person fearful and apprehensive
 A nurse threatens to place an NG tube in a client who is refusing to eat.
 BATTERY
 Intentional and wrongful physical contact with a person that involves an injury
or offensive contact
 A nurse restrains a client and administers an injection against their wishes.
 FALSE IMPRISONMENT
 A person is confined or restrained against their will
 A nurse uses restraints on a competent client to prevent their leaving the health
care facility.
 Quasi‐intentional torts
 BREACH OF CONFIDENTIALITY
o A nurse releases a client’s medical diagnosis to a member of the press.
 DEFAMATION OF CHARACTER
o A nurse tells a coworker that they believe the client has been unfaithful to
their partner.
o Unintentional Torts
 NEGLIGENCE
 A nurse fails to implement safety measures for a client at risk for falls.
 MALPRACTICE (PROFESSIONAL NEGLIGENCE)
 A nurse administers a large dose of medication due to a calculation error. The
client has a cardiac arrest and dies.